Active NPI
Holly Raymond, MFT
- Marriage & Family Therapist
- Brea, CA
National Provider Identifier
1205069408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 53415
- Practice address
- 242 S Orange Ave
Suite 205
Brea, CA 92821-4980 - Phone
- (714) 767-6675
- NPI assigned
- Sep 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 53415 | CA | Primary |
Addresses
Primary practice location
242 S Orange Ave
Suite 205
Brea, CA 92821-4980
Mailing address
PO Box 145
La Habra, CA 90633-0145
Phone (714) 767-6675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 53415 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1205069408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 145",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906330145",
"telephone_number": "714-767-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 S ORANGE AVE",
"address_2": "SUITE 205",
"city": "BREA",
"state": "CA",
"postal_code": "928214980",
"telephone_number": "714-767-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "HOLLY",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-03",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 53415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.